| NPI | 1588966238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ORTIZ Medical Billing Coordinator 858-454-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2025-06-05 |